Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20200186
Brazilian Journal of Pain
Case Report

The effect of biofeedback on pain and sleep in a patient with temporomandibular disorder. Case report

Efeito do biofeedback na dor e no sono de paciente com disfunção temporomandibular. Relato de caso

Kessia Fernandes; Antônio Sérgio Guimarães; Miguel Meira e Cruz

Downloads: 0
Views: 322

Abstract

BACKGROUND AND OBJECTIVES: Literature has shown that behavioral and educational modalities are effective options in the treatment of chronic pain, including temporomandibular disorder, and techniques such as biofeedback have been used for single therapy or in combination for effective pain control in these individuals. Furthermore, the severity of symptoms is related to relevant prognostic factors, such as quality of life, emotional states and sleep quality. The aim of the present study was to evaluate the effect of the biofeedback audiovisual technique on pain control and sleep quality in a patient with temporomandibular disorder.

CASE REPORT: Female patient, 34 years old, with Temporomandibular Disorder. The DC/TMD (Diagnostic Criteria for Temporomandibular Disorders) Axis I, diagnostic was applied, and the patient was classified with more than one subtype of temporomandibular disorders: local myalgia and myofascial pain with reference, in addition to neck pain as a comorbidity.

CONCLUSION: In this case, the biofeedback treatment was effective both in reducing pain intensity and improving sleep quality.

Keywords

Biofeedback, Pain control, Seep, Temporomandibular disorder

Resumo

JUSTIFICATIVA E OBJETIVOS: A literatura tem demonstrado que as modalidades comportamentais e educacionais são opções efetivas no tratamento da dor crônica, inclusive da disfunção temporomandibular, e técnicas como o biofeedback vêm sendo utilizadas como terapia isolada ou em combinação para um controle efetivo da dor nesses indivíduos. Além disso, a gravidade dos sintomas tem correlação com fatores de relevância para o prognóstico, como a qualidade de vida, estados emocionais e qualidade do sono. O objetivo deste estudo foi avaliar o efeito da técnica do biofeedback audiovisual no controle da dor e na qualidade do sono em paciente com disfunção temporomandibular muscular.

RELATO DO CASO: Paciente do sexo feminino, 34 anos, com disfunção temporomandibular. O critério diagnóstico DC/TMD (Diagnostic Criteria for Temporomandibular Disorders) Eixo I foi aplicado, sendo a paciente classificada com mais de um subtipo de disfunção temporomandibular: mialgia local e dor miofascial com referência, além de cervicalgia como comorbidade.

CONCLUSÃO: No caso clínico apresentado a terapia com biofeedback foi efetiva na redução da intensidade da dor e melhoria da qualidade do sono.

Palavras-chave

Biofeedback, Controle da dor, Disfunção temporomandibular, Sono

References

De Leeuw R, Klasser GD. Orofacial Pain: Guidelines for assessment, diagnosis, and, and management. 2008.

Chisnoiu AM, Picos AM, Popa S, Chisnoiu PD, Lascu L, Picos A. Factors involved in the etiology of temporomandibular disorders-a literature review. Clujul Med. 2015;88(4):473.

Rikmasari R, Yubiliana G, Maulina T. Risk factors of orofacial pain: a population-based study in West Java Province, Indonesia. Open Dent J. 2017;29(11):710-7.

Lucena IM, Rodrigues LLFR, Teixeira ML, Pozza DH, Guimaraes AS. Prospective study of a group of pre-university students evaluating anxiety and depression relationships with temporomandibular disorders. J Clin Exper Dent. 2012;4(2):e102-6.

Rener-Sitar K, John MT, Pusalavidyasagar SS, Bandyopadhyay D, Schiffman EL. Sleep quality in temporomandibular disorder cases. Sleep Med. 2016;25:105-12.

Natu VP, Yap AU, Su MH, Irfan Ali NM, Ansari A. Temporomandibular disorder symptoms and their association with quality of life, Emotional states and sleep quality in South-East Asian youths. J Oral Rehabil. 2018;45(10):756-63.

Meira e Cruz M, Sousa B, De Laat A. Sleep and Orofacial Pain: Physiological Interactions and Clinical Management. Sleep Medicine in Clinical Neurology. 2019.

Cruz MM, Manetta I. Sleep and pain: a circadian multi-challenge rather than a simple bidirectional pathway. BrJP. 2019;2(3):303-4.

Meira E Cruz M, Lukic N, Wojczynska A, Steiger B, Guimarães AS, Ettlin D. Insomnia in patients seeking care at an orofacial pain unit. Frontiers Neurol. 2019;10:542.

Siepmann M, Aykac V, Unterdörfer J, Petrowski K, Mueck-Weymann M. A pilot study on the effects of heart rate variability biofeedback in patients with depression and in healthy subjects. Appl Psychophysiol Biofeedback. 2008;33(4):195-201.

Crider A, Glaros AG, Gevirtz RN. Efficacy of biofeedback-based treatments for temporomandibular disorders. Appl Psychophysiol Biofeedback. 2005;30(4):333-45.

Lovato N, Miller CB, Gordon CJ, Grunstein RR, Lack L. The efficacy of biofeedback for the treatment of insomnia: a critical review. Sleep Med. 2019;56:192-200.

Frank DL, Khorshid L, Kiffer JF, Moravec CS, McKee MG. Biofeedback in medicine: who, when, why and how?. Ment Health Fam Med. 2010;7(2):85-91.

Silva J, Padovani R, Viana M. O Emprego do biofeedback como estratégia de manejo do estresse e da ansiedade em atletas: um ensaio clínico. Rev Bras Terap Comport Cog. 2016;18(3):17-29.

Matsuoka H, Chiba I, Sakano Y, Toyofuku A, Abiko Y. Cognitive behavioral therapy for psychosomatic problems in dental settings. Bio Psycho Social Med. 2017;11:18.

Gatchel RJ, Stowell AW, Wildenstein L, Riggs R, Ellis 3rd E. Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain A one-year outcome study. J Am Dent Assoc. 2006;137(3):339-47.

Criado L, de La Fuente A, Heredia M, Montero J, Albaladejo A, Criado JM. Electromyographic biofeedback training for reducing muscle pain and tension on masseter and temporal muscles: a pilot study. J Clin Exper Dent. 2016;8(5):e571-6.

Randhawa K, Bohay R, Côté P, van der Velde G, Sutton D, Wong JJ. The Effectiveness of Noninvasive Interventions for Temporomandibular Disorders: A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Clin J Pain. 2016;32(3):260-78.

Gil-Martínez A, Paris-Alemany A, López-de-Uralde-Villanueva I, La Touche R. Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions. J Pain Res. 2018;16(11):571-87.

Fujisawa M, Kanemura K, Tanabe N, Gohdo Y, Watanabe A, Iizuka T. Determination of daytime clenching events in subjects with and without self-reported clenching. J Oral Rehabil. 2013;40(10):731-6.

Sato M, Iizuka T, Watanabe A, Iwase N, Otsuka H, Terada N. Electromyogram biofeedback training for daytime clenching and its effect on sleep bruxism. J Oral Rehabil. 2015;42(2):83-9.

Bergamasco EC, Cruz DALM. Adaptação das visual analog sleep scales para língua portuguesa. Rev Latino-Am Enfermagem. 2007;15(5).

Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-5.

de Barros Pascoal AL, de Freitas RFCP, da Silva LFG, Oliveira AGRC, Dos Santos Calderon P. Effectiveness of counseling on chronic pain management in patients with temporomandibular disorders. J Oral Facial Pain Headache. 2019;34(1):77-82.

de Resende CMBM, de Oliveira Medeiros FGL, de Figueiredo Rêgo CR, Bispo ASL, Barbosa GAS, de Almeida EO. Short-term effectiveness of conservative therapies in pain, quality of life, and sleep in patients with temporomandibular disorders: a randomized clinical trial. Cranio. 2019:1-9.

Florjanski W, Malysa A, Orzeszek S, Smardz J, Olchowy A, Paradowska-Stolarz A. Evaluation of biofeedback usefulness in masticatory muscle activity management - a systematic review. J Clin Med. 2019;8(6).

Gu W, Yang J, Zhang F, Yin X, Wei X, Wang C. Efficacy of biofeedback therapy via a mini wireless device on sleep bruxism contrasted with occlusal splint: a pilot study. J Biomed Res. 2015;29(2):160-8.

Jokubauskas L, Baltrušaitytė A. Efficacy of biofeedback therapy on sleep bruxism: a systematic review and meta‐analysis. J Oral Rehabil. 2018;45(6):485-95.

Watanabe A, Kanemura K, Tanabe N, Fujisawa M. Effect of electromyogram biofeedback on daytime clenching behavior in subjects with masticatory muscle pain. J Prosthodont Res. 2011;55(2):75-81.

Haggiag A, de Siqueira JTT. A new biofeedback approach for the control of masseter and temporal myalgia: utilization of an awake posterior interocclusal device. Cranio. 2020;38(3):180-6.

Sommer I, Lavigne G, Ettlin DA. Review of self-reported instruments that measure sleep dysfunction in patients suffering from temporomandibular disorders and/or orofacial pain. Sleep Med. 2014;16(1):27-38.

Kirchner LF, Buela-Casal G, Reis MJD. Terapia cognitivo-comportamental para dor e insônia em adultos: revisão de ensaios clínicos. Rev Bras Terap Comport Cognitiva. 2017;19(4):102-18.


Submitted date:
04/05/2020

Accepted date:
05/28/2020

608735bda953956d0a1f4df4 brjp Articles

BrJP

Share this page
Page Sections